Yu Seung-Hm, Kim Sang-A, Park Woong-Sub
Department of Preventive Medicine and Public Health, Kwandong University College of Medicine, 522 Naegok, Gangneung, Gangwon 210-701, Korea.
Yonsei Med J. 2005 Dec 31;46(6):769-78. doi: 10.3349/ymj.2005.46.6.769.
This study was designed to assess determinants of private clinics' productivity, and to compare city and county clinics in South Korea. We analyzed the revenue and patient data from all 9,212 private clinics in South Korea. This data was obtained from the Korean National Health Insurance Corporation, during the period between 1996 and 1999. We used a mixed model for repeatedly measured data. The following listed variables were used in our analysis: sex and age of physician, number of beds of clinics, competitiveness of medical institution, inhabitants'incomes, the proportion of elderly in the administrative unit, and time effects. Age, sex, number of beds, and specialty were found to be the most relevant determinants for the productivity of private clinics in both urban and rural settings, and number of clinics and beds per 100,000 and income of the administrative unit were found to be significant determinants, but only in city environments.
本研究旨在评估私人诊所生产力的决定因素，并比较韩国城市和县级诊所的情况。我们分析了韩国9212家私人诊所的收入和患者数据。这些数据是在1996年至1999年期间从韩国国民健康保险公团获取的。我们对重复测量的数据使用了混合模型。我们的分析中使用了以下列出的变量：医生的性别和年龄、诊所的床位数、医疗机构的竞争力、居民收入、行政单位中老年人的比例以及时间效应。年龄、性别、床位数和专业被发现是城市和农村地区私人诊所生产力最相关的决定因素，每10万人的诊所数量和床位数以及行政单位的收入被发现是显著的决定因素，但仅在城市环境中如此。
